| NPI | 1861834863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY MOSES LADERBERG Director 757-425-2699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202001314) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004106) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006367) | |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202002950) | |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005920) | |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202003448) | |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-19 |